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Affordable Health Insurance In North Carolina



If you live in North Carolina and are in need of healthcare coverage, you may have somewhat of a challenge ahead of you.  Finding quality North Carolina health insurance in 2024, is not as simple as it may seem.  The problem is, it can be quite difficult finding a knowledgeable insurance professional that is willing to take the time to sort through the myriad of health plan choice that are available to you.  And going it alone, in an increasingly confusing health plan marketplace, is a prescription for a potential disaster

The good news is, we are health plan experts with a wealth of experience.  We are just a phone call away and are here to help.

There are a number of factors that you will want to consider when attempting to purchase that ideal health care plan for you or your family.   The first item on your list should be which type of health plan should you consider - HMO, PPO, POS, EPO, etc.?  Are you looking for an Affordable Care Act plan, or are you looking for a wider range of options?

Good to know:  Shop smart.  When looking for insurance, the No. 1 priority should be to find adequate coverage.  Price is important, but you'll want to determine the level of coverage that you need - first.  Once you know that, then you can consider which plans to choose, as well as ways to work it into you budget.  You may be tempted to choose the cheapest plan, but if you don't have sufficient insurance protection to meet your needs, well that's not much better than having no coverage at all.



Short Term Health Insurance

You may want to add short-term insurance to your list of options.  Short-term insurance is not so short anymore.  Thanks to new government guidelines, there are now short-term insurance policies in parts of the country that you can keep up to a year or more.  In addition, the benefits of many of these short term policies have been significantly improved.  While short term health insurance plans do not offer the comprehensive level of insurance coverage of an Affordable Care Act Health Insurance plan, the features and benefits are now more comparable.  And short term health insurance plan pricing tends to be more affordable.  In many cases, a short term health plan can be the ideal health insurance fit.  Get an instant short term health insurance plan rate quote

Healthcare Sharing Plans

There are also healthcare sharing plans.  Consumers are choosing healthcare sharing plans, (also known as faith based health plans), over traditional insurance in ever increasing numbers.  A Healthcare sharing plan is not an insurance plan - at least not in the legal sense of the word.  These plans are designed to meet the same needs as traditional health insurance.  The difference is, these plans are not governed by the ACA (Affordable Care Act) rules and regulations.  The result is an umbrella of health plan options that can offer a benefit structure that is different than what is available via an Affordable Care Act plan.  These plans are noted by their flexibility and affordability.  Get an instant Healthcare sharing plan rate quote

All of the above options are available in North Carolina.  You need only to choose which health plan option will best suit your needs.  Because health insurance is such an important necessity, you should seek the assistance of a licensed insurance professional.

Good to know:  Pick the right insurance policy.  Take the time and put in the work necessary in order to select the right plan.  In the state of Florida, for example, if you are shopping for a health insurance plan through the Affordable Care Act exchange, you will be offered around 100 plan variations to choose from.  This doesn't even include all of the health plan options that are not on the exchange.  So, regardless of where you live, you will likely find a confusing clutter of choices that you will need to sort through.  In addition, you want a plan that includes your doctors and your medications, plus provides care for any chronic conditions.  Information online can be incomplete or outdated, so call the doctors to make sure they're still participating in plans you're considering.


Healthcare.gov

One of the simplest means of acquiring a health plan, is to purchase a plan on Healthcare.gov.  To purchase a plan via Healthcare.gov, you will need to apply during the open enrollment period.  This period is normally about a month and a half long, and occurs during the fall of every year.  This is the only time you may enroll unless you qualify for enrollment due to special circumstances.  If you fall within a certain specific income bracket, you may qualify for subsides, which are income-based discounts on the monthly premiums.

There are several health plan options that are available to you, that are not part of the Affordable Care Act portfolio.  They include short-term health plans, (which are not so short anymore) and healthcare sharing plans, (Sometimes referred to as faith-based health plans).

After deciding on where you plan to purchase your health insurance, the next step is to decide which type of plan is best for you. These plan types include: Preferred Provider Organization (PPO), Health Maintenance Organization (HMO), Exclusive Provider Organization, or a Point of Service Plan (POS), and more.  The structures of the various plans can be quite different.  Be sure to seek assistance from a licensed health insurance agent.  The impact of purchasing the wrong plan can be emotionally and financially significant.

Good to know:  You shouldn't promptly pay medical bills.  Yes, you read that right.  The reason is, healthcare providers tend to send bills well before the insurance company has decided what part of the claim they are obligated to pay.  The average person sees a bill and thinks they are obligated to pay it.  This couldn't be further from the truth.  Health care companies routinely shoots out bills to everyone one involved - regardless of who is actually responsible for paying it.  You need to know what the insurer is going to pay before you do anything.  Our advice? Don't pay a dime until you get an EOB (Explanation of Benefits) from your insurer that explains your claim and how much they are paying.


Novant Health Presbyterian Medical Center
Novant Health Presbyterian Medical Center
200 Hawthorne Ln
Charlotte, NC 28204
Phone: (704) 384-4000
Plus Code: 656G+V6 Charlotte, 1, Charlotte, NC
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Once you have selected a plan type you desire, you should look at the size of the health care network and estimated out-of-pocket costs.  An insurance plan summary will lay out how much you may likely pay out of pocket, for deductibles, copayments, and co-insurance, should you encounter a medical circumstance.  Generally, the lower the premium the higher your out-of-pocket-costs.

The final step is to compare plan benefits with your family's specific medical needs.  This consists of making sure that the plan provides for any needed medications, coverage during travel, and any reoccurring care required.

Other articles:
Explaining The Growth of Healthcare Sharing Healthplans
Finding Short-Term Health Insurance.
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